MR. RANDY M JOHNSON (NPI# 1073787677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073787677 |
| Entity Type | Individual |
| Full Name | MR. RANDY M JOHNSON |
| Credential | PA-C |
| Practice Address |
2200 Whitney Avenue Suite 360 Hamden CT 06518-3694 |
| Practice Telephone | 2032814463 |
| Practice Fax Number | 2032872930 |
| Mailing Telephone | 2032814463 |
| Mailing Fax Number | 2032872930 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002078 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1497041065 | Randy Lee Johnson | Contractor | 824 9th St N, Sartell, MN 56377-2248 | 2011-06-22 |
| 1871716225 | Randy Johnson | Dentist | 3053 Freedom Dr, Charlotte, NC 28208-3859 | 2007-04-11 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1295843795 | Randy Roy Johnson | Chiropractor | 10600 South Ave, Chisago City, MN 55013-9577 | 2006-08-26 |
| 1417970971 | Randy Johnson | Specialist/Technologist | 5150 Farna Ave, Arcadia, CA 91006-5966 | 2006-07-25 |
| 1972581957 | Randy Gordon Johnson | Pharmacist | 34617 Se 56th Pl, Fall City, WA 98024-8806 | 2006-01-09 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1629247317 | Randy Johnson | Prosthetic/Orthotic Supplier | 405 Parkway, Suite G, Greensboro, NC 27401-1308 | 2008-02-27 |
| 1508035189 | Randy Lee Johnson | Durable Medical Equipment & Medical Supplies | 117 E Main St, Dundee, FL 33838-4219 | 2008-02-27 |
| Street Address |
2200 WHITNEY AVENUE SUITE 360 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184722373 | Anesthesia Healthcare Partners of Connecticut, LLC | Nurse Anesthetist, Certified Registered | 2200 Whitney Avenue, Ste 380, Hamden, CT 06518-3602 | 2006-09-20 |
| 1972692473 | Adrian C Demidont | Internal Medicine | 2200 Whitney Avenue, Suite 290, Hamden, CT 06518 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194869719 | Bonnie Hataley | Physician Assistant | 20 Valley View Ct, Hamden, CT 06518-2751 | 2007-02-16 |
| 1609331933 | Stephen Pollani | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2019-01-31 |
| 1316311046 | Daniel Berluti | Physician Assistant | 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2015-11-18 |
| 1962874792 | Eric Black | Physician Assistant | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2015-10-20 |
| 1538426804 | Israel Sk Mushi | Physician Assistant | 1684 Dixwell Ave, Hamden, CT 06514-3111 | 2012-04-11 |
| 1710069455 | Courtney Calandro | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2006-10-20 |
| 1841386208 | Christine Ann Rowland | Physician Assistant | 2080 Whitney Ave, Suite 210, Hamden, CT 06518-3600 | 2006-10-05 |
| 1316056294 | Suzanne Robinson | Physician Assistant | 2200 Whitney Ave, Suite 100, Hamden, CT 06518-3691 | 2006-08-30 |
| 1295841617 | Sherri L O'connor | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2006-08-21 |
| 1790898401 | Kevin R. Leonard-pasley | Physician Assistant | 2543 Dixwell Ave, Hamden, CT 06514-1809 | 2006-08-16 |
| Find all providers in HAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.